Grand Rounds 4.36 at Parallel Universes!
Tuesday, May 27, 2008
Kenneth F. Trofatter, Jr., MD, PhD
Many thanks to
Parallel Universes for this week's rendition of
Grand Rounds 4.36 and for including a link to my recent post on the
Evaluation and Management of Polyhydramnios.
The evaluation of amniotic fluid is an important part of every pregnancy and understanding the causes, complications, and management of the pregnancy with
abnormalities of amniotic fluid, and being able to translate that information into understandable terms for the patient, is a necessary part of the daily routine of any obstetrical provider. I hope both patients and providers will find his series on amniotic fluid useful in that process! Thanks to all of you for reading!
Dr T
Labels: amniotic fluid; AFV
Permalink |
Email Post 
The Healthline Site, its content, such as text, graphics, images, search
results, HealthMaps, Trust Marks, and other material contained on the
Healthline Site ("Content"), its services, and any information or material
posted on the Healthline Site by third parties are provided for informational
purposes only. None of the foregoing is a substitute for professional medical
advice, examination, diagnosis, or treatment. Always seek the advice of a
physician or other qualified healthcare provider with any questions you may
have regarding a medical condition. Never disregard professional medical advice
or delay in seeking it because of something you have read on the Healthline
Site. If you think you may have a medical emergency, call your doctor or 911
immediately. Please read the Terms of Service for more information regarding
use of the Healthline Site.
4 Comments:
At Thu May 29, 07:09:00 PM 2008,
Anonymous said…
Dr. T,
Thank you for your reply. Here are my numbers, I have my doubts with doing the amnio, can you please let me know if my numbers look good?
Age at term: 40
NT:1.2mm
CRL: 50.4mm
Gest Age: 11.4wks
Results:
NT 0.92MoM
PAPP-A 0.74MoM
hCG 1.62MoM
Interpretation: Screen Positive - Increased Risk of Down Syndrome.
DS Screening Risk=1:150
DS Age Related Risk=1:53
DS Risk Cutoff=1:220
T18 Screening Risk=1:10,000
T18 Age Related Risk=1:180
T18 Risk Cutoff=1:100
Thank you again. Adriana.
At Fri May 30, 03:11:00 PM 2008,
miraclebaby said…
Dr. T-
Just wanted to share some good news with you. After what appeared to be a cyst rupture/leak a few weeks ago, our baby seems to be fine. At 7w2d the heartbeat was 144! The corpus luteum cyst was still intact, so it looks like it might have been another one that was near it, most likely brought on by the clomid. We're not out of the woods yet... need cerclage at 13 weeks and p17 shots, but things are looking up! Thanks for your advice.
At Fri May 30, 05:59:00 PM 2008,
Kenneth F. Trofatter, Jr., MD, PhD said…
Adriana: So, your Down's risk is only one-third that based on age alone. That is very good even if it is below the lab's "cut-off.". If you have a normal ultrasound at 18-20 weeks, that reduces the risk at least another 60-80%. Many of my patients would simply wait to have that ultrasound before making a decision regarding amniocentesis. Remember, you do not have to do anything YOU do not want to do! Odds are in your favor that the baby is fine. Let us know how things turn out. Dr T
At Tue Jun 03, 07:09:00 PM 2008,
Kenneth F. Trofatter, Jr., MD, PhD said…
To miraclebaby: Thnaks for keeping us updated. Let us know how things develop! Dr T
Post a Comment
<< Home